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SHANNON CALLAGHAN LPCC
NPI 1083397152
Counselor - Mental Health in Tustin, CA

Active since August 07, 2023PECOS Enrolled
13681 NEWPORT AVE STE 8-440, TUSTIN, CA 92780(800) 778-1772 Get Directions Write a Review

NPPES record last updated: August 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shannon Callaghan Lpcc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANNON CALLAGHAN LPCC (NPI 1083397152) is an individual mental health provider in Tustin, California, licensed in California (14247) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1083397152
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSHANNON CALLAGHANCredential: LPCC
Location Address13681 NEWPORT AVE STE 8-440Tustin, CA 92780-4689
Mailing Address13681 Newport Ave Ste 8-440Tustin, CA 92780-4689 · (800) 778-1772
Phone(800) 778-1772
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateAugust 7, 2023
NPPES CertifiedAugust 7, 2023
✔ NPI 1083397152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in CA · 14247
13681 NEWPORT AVE STE 8-440, Tustin, CA 92780
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shannon Callaghan Lpcc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2961971080
PECOS Enrollment IDI20260519001542
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shannon Callaghan's NPI number?

The NPI number for Shannon Callaghan is 1083397152. It was assigned to this individual provider in the NPPES registry on August 7, 2023.

Where is Shannon Callaghan located?

Shannon Callaghan practices at 13681 Newport Ave Ste 8-440, Tustin, CA 92780. The listed phone number is (800) 778-1772.

What is Shannon Callaghan's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Shannon Callaghan enrolled in Medicare?

Yes. Shannon Callaghan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shannon Callaghan was last updated on August 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.